Kristy Bormann, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086641 Issued in NY

Practice address

720 East Ave
Rochester, NY 14607-2192

Phone

(347) 688-8494

Fax

(347) 812-0032

NPI assigned

Oct 18, 2015

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 19, 2025 through Aug 19, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kristy.bormann.p1@direct.liberty-resources.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1639540537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PENFIELD RD # 575-1079",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252322",
            "telephone_number": "347-688-8494",
            "fax_number": "585-625-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072192",
            "telephone_number": "347-688-8494",
            "fax_number": "347-812-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMANN",
        "first_name": "KRISTY",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091038",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth A Borg, M.D.
• Christine C Borghi-Cavallaro, M.D.
• Lindsay Borglum, RPA-C
• Joseph Alexander Bork
• Thomas Christopher Bork, DDS
• Sarabeth Born, LMT
• Laszlo Boros, M.D.
• Boris Borovcanin, MD
• Karlie S. Borrell, FNP
• Elizabeth Borrelli, FNP-C

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.